Epic Systems
TherapyNotes
| Feature | Epic Systems | TherapyNotes |
|---|---|---|
| Pricing | Contact sales | From $49/mo |
| Free Plan | ✗ No | ✗ No |
| Rating | 4.2 / 5 | 4.6 / 5 |
| Best For | hospitals, health-systems, large-clinics, academic-medical-centers | therapists, psychologists, counselors, behavioral-health-practices |
| Founded | 1979 | 2010 |
| Electronic Health Records | ✓ | ✗ |
| Patient Portal | ✓ | ✓ |
| Clinical Workflows | ✓ | ✗ |
| Billing | ✓ | ✗ |
| Scheduling | ✓ | ✓ |
| Interoperability | ✓ | ✗ |
| Telehealth | ✓ | ✓ |
| Progress Notes | ✗ | ✓ |
| Insurance Billing | ✗ | ✓ |
| Credit Card Processing | ✗ | ✓ |
✓ Epic Systems Pros
- Most widely used EHR in US hospitals
- Comprehensive interoperability with MyChart patient portal
- Highly customizable to specific clinical workflows
- Strong regulatory compliance (HIPAA, HITECH)
✗ Epic Systems Cons
- Extremely expensive implementation costs
- Requires extensive training for staff
- Vendor lock-in with proprietary systems
✓ TherapyNotes Pros
- Purpose-built for therapists
- Excellent documentation templates
- Reliable customer support
- Insurance billing included
✗ TherapyNotes Cons
- Limited customization options
- No telehealth on basic plan
- Interface could be modernized
The Verdict
Epic Systems is built for hospitals and health systems, with a focus on electronic-health-records and patient-portal. TherapyNotes targets therapists and psychologists and leads with progress-notes and scheduling.
Epic Systems uses custom enterprise pricing, while TherapyNotes starts at $49/mo — a tangible advantage for teams with a fixed budget.
Neither tool offers a free plan, so factor the subscription cost into your decision from the start.
TherapyNotes edges out on user ratings (4.6 vs 4.2). While both are well-regarded, that gap reflects real differences in user satisfaction worth considering.
Feature-wise, Epic Systems offers broader built-in capabilities (7 features vs 6), while TherapyNotes takes a more focused approach — which can mean a simpler, faster onboarding experience.
Bottom line: TherapyNotes has a slight overall edge — but if most widely used ehr in us hospitals matters most to you, Epic Systems may still be the right call.